Form ID

Publication date

Location of premises

Certificate

Contract #: 2016-6023 Grading, Granular Base, Hot Mix Asphalt, Embankment Rehabilitation, Culvert Replacement, Culvert Rehabilitation Hwy. 11/17 Oskondaga River Trib. #1 Culvert (Site No. 48W-185/C), approx. 5km West of Hwy. 11; Oskondaga River Trib. #2 Culvert (Site No. 48W-186/C), approx. 14km West of Hwy. 11; Brule Creek Culvert (Site No. 48W-249/C), approx. 6km East of Hwy. 102

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty The Queen in Right of Ontario as represented by the Minister of Transportation
Address of Owner
Ministry of Transportation, 615 S. James St. Thunder Bay, ON
Name of Contractor
Louis W Bray Construction Limited
Address of Contractor
308 Corduroy Road, Vars, ON K0A 3H0

Office to which claim for lien must be given to preserve lien

Director, Legal Services Branch, 125 Sir William Hearst Avenue, 1st Floor, Downsview, Ontario M3M 0B5